Acute aortic occlusion with sudden paraplegia secondary to Aspergillus niger embolism from Aspergillus niger aortitis

Acute aortic occlusion caused by a saddle embolus is a rare vascular emergency. Associated sudden paraplegia secondary to spinal cord ischemia is even more uncommon. Aspergillus surgical site infection is typically linked to cardiac surgery but is exceptional. Here we present a case that combines al...

Full description

Saved in:
Bibliographic Details
Published in:Journal of vascular surgery 2011-11, Vol.54 (5), p.1472-1474
Main Authors: Jamieson, Russell W., MChir, MRCS(Ed), Wallace, William A., PhD, FRCP (Ed), FRCPath, Din, Jehangir N., MBChB, MRCP, Raza, Zahid, MD, FRCS(Ed)
Format: Article
Language:English
Subjects:
Acute Disease
Aged
Antifungal Agents - therapeutic use
Aorta - microbiology
Aortitis - diagnostic imaging
Aortitis - microbiology
Aortitis - therapy
Aortography - methods
Arterial Occlusive Diseases - diagnostic imaging
Arterial Occlusive Diseases - microbiology
Arterial Occlusive Diseases - therapy
Aspergillosis - diagnosis
Aspergillosis - microbiology
Aspergillosis - therapy
Aspergillus niger - isolation & purification
Aspergillus niger - pathogenicity
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Diseases of the aorta
Embolectomy
Embolism - diagnostic imaging
Embolism - microbiology
Embolism - therapy
Fatal Outcome
Heart Valve Prosthesis Implantation - adverse effects
Humans
Male
Medical sciences
Multiple Organ Failure - etiology
Paraplegia - microbiology
Paraplegia - therapy
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tomography, X-Ray Computed
Treatment Outcome
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Acute aortic occlusion caused by a saddle embolus is a rare vascular emergency. Associated sudden paraplegia secondary to spinal cord ischemia is even more uncommon. Aspergillus surgical site infection is typically linked to cardiac surgery but is exceptional. Here we present a case that combines all of these factors. A 67-year-old man presented with sudden paraplegia from acute aortic occlusion with a saddle embolus from Aspergillus niger aortitis 4 months after aortic valve replacement and aortoplasty. We believe this to be the second reported case of Aspergillus niger aortitis and the first presenting as aortic occlusion with paraplegia.
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2011.04.056